Postoperative instructions for perineal and intravaginal procedures

(surgical vaginal tightening / perineoplasty)

The ultimate success of your surgery is partially dependant on your self-care in the weeks after your operation. Therefore please help to get the best results by simply following / observing the instructions below. To be able to follow these instructions you need to be at home for the 7 days following your operation.

Salt baths and keeping clean

Starting with the evening of your surgery, take warm salt baths (soak the perineal area in clean warm water) for about 15-20 minutes. Rinse with a handheld shower device or direct the shower stream towards the surgical area. DO NOT RUB the area, but dab-dry with a soft cloth / towel / moist cotton wool, then follow with a hairdryer (low heat, high blow). Finally, apply a clean sanitary maxi pad with a non-stick surface (If you have had labial reduction surgery along with your vaginal tightening procedure, you should not use salt baths) .


It is extremely important to minimise vigorous activities including fast walking, stair climbing, ups and downs and heavy lifting for the first two weeks after your surgery. You may resume modest activities after one week but wait until a minimum of 4 weeks before resuming full physical activity.

Sexual activity / tampons

Do not resume sexual intercourse or insert anything into the vagina until 8 weeks following the date of your surgery.

Medication prescribed following your operation

please make sure to take the medication according to the instructions:

  • Antibiotics: you will be given a 5 day supply (usually Augmentin) – please complete the course.
  • Pain killers: for the first 5 days, it is important to take your pain killers on a regular basis as instructed. It is not just about controlling pain, but also reducing inflammation and therefore helping the appropriate healing process. Paracetamol should be taken as two tablets (1g) at 6am, 12 noon, 6pm and 10pm). Diclofenac should be taken as 50mg three times a day at 8am, 2pm and 10pm. Please note that immediately following your operation, and for up to 4-6 hours after, you may feel very little pain, because you will have been given a powerful local anaesthetic. DO NOT let this lull you into not taking your pain killers as instructed above – you do not want to end up chasing your tail where pain is concerned.

It is normal to have a modest amount of thin blood or bloody discharge for up to 2-3 weeks.

If you experience painful urination, inability to urinate or urinary frequency, drink plenty of fluids and try emptying your bladder while taking a long warm shower or bath. If symptoms persist, please call your surgeon or see your GP. Make sure you drink plenty of water, eat 10-12 prunes daily or drink prune juice, be up and around and take a stool softener such as Lactulose, which you can buy over the counter.

Signs of infection

Danger signs include; fever of more than 38 degrees and above, foul smelling vaginal discharge, increasing vaginal/rectal pressure (although a moderate amount of pressure is normal because of all the sutures in the pelvic floor), and increasing pain and/or swelling of the incisional area. You will have your first postoperative appointment at 7-10 days after surgery with your surgeon. You will then see the surgeon again at 4-6 weeks following your surgery, although on occasion the surgeon will be available to see you sooner if this is required.

Professor Isaac Manyonda

Professor Isaac Manyonda
c/o Parkside Hospital, 53 Parkside, Wimbledon, London, SW19 5NX

Secretary / PA  -
020 8054 3893

Consulting Hours

Tuesday: 14:00 – 17:00hrs
Tuesday: 17:40 – 20:00hrs
Thursday: 17:40 – 20:00hrs
Saturday: 08:00 – 12:00hrs

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